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University of Iowa Cancer Prevention and Control Research Network Sue Curry, Ph.D., Principal Investigator This presentation was supported by Cooperative Agreement Number 1U48DP005021-01REV from the Centers for Disease Control and Prevention. The findings and conclusions in this presentation are those of the author(s) and do not necessarily represent the official position of the Centers for Disease Control and Prevention. AIMS • Accelerate implementation of E-B CPC strategies • Reduce cancer risk • Improve participation in e-b strategies • Enhance efforts to reach underserved populations – Multi-level engagement with individuals, community organizations & health systems Resources • Outstanding faculty with broad expertise and experience • Institutional support & infrastructure • Surveillance • Robust and varied community partnerships Faculty Name Expertise Sue Curry Health behavior & health services research Edith Parker CBPR, program evaluation, translation and dissemination research Barbara Baquero CBPR with Latino populations Faryle Nothwehr Evaluation & dissemination research, rural community collaborations for healthy eating Jason Daniel-Ulloa Health disparities, qualitative research in ethnic minority populations Elizabeth Chrischilles Cancer prevention/population sciences leadership; core population data resources, multi-center trials Barcey Levy Iowa Research Network, colorectal cancer screening Natoshia Askelson Health communications, colorectal cancer screening, HPV vaccination Brad McDowell Population data resources, Iowa Cancer Consortium (co-chair of Data & Evaluation Committee; development of Iowa Cancer Plan) Tina Devery Executive director of Iowa Cancer Consortium Chuck Lynch Cancer surveillance, cancer epidemiology, environmental epidemiology; PI and Medical Director of Iowa’s SEER registry Institutional Support/Infrastructure • Collaborative culture across UI colleges • Institute for Clinical & Translational Research • Holden Comprehensive Cancer Center • CPH Communications & External Relations • Institute for Public Health Practice • Iowa Institute for Public Health Research & Policy • Center for Public Health Statistics • Business Leadership Network Surveillance Data • State Health Registry of Iowa – NCI SEER Registry • Cohort Studies – Agricultural Health Study • Data linkages – SEER-Medicare, SEER-MHOS, Medicare, Medicaid Data, SEER-Breast & Cervical Cancer Screening Program, SEER-Colorectal Cancer Screening Program • Iowa Health Fact Book Community Partnerships • • • • • • • • • Iowa Cancer Consortium Iowa Primary Care Association (14 FQHC’s) Iowa Department of Public Health Local Health Departments UI Health Alliance Iowa Hospital Association Iowa Research Network (IRENE) Partnerships in racial/ethnic diverse communities Advisory boards – PRC-RH Advisory Boards (local and state) – CPH Board of Advisors Strategies for Studying Dissemination • Identify grand challenges – Surveillance • Identify evidence-based approaches for intervention – USPSTF, CPSTF • Apply state of the art research methods to evaluate dissemination strategies • Determine metrics and timeline for assessing dissemination Pilot Project – HPV Vaccination • Surveillance – HP2020 goal = 80%; Iowa = 36% (lower among African Americans) • Evidence-based interventions – CDC Advisory Committee on Immunization Practices (ACIP) recommendations – CPSTF strategies to • Enhance access to vaccination services (4) • Increase community demand (4) • Provider/system interventions (5) Pilot Project – HPV Vaccination • Faculty and collaborations – Drs. Askelson & Daniel-Ulloa have ongoing work – Existing collaborations with 5 counties in Iowa with highest African American population – Priority of Iowa Cancer Consortium – Partnerships with FQHC’s through Iowa Primary Care Association – Partnerships with state & local health departments Pilot Project – HPV Vaccination • Research design idea – Multiple baseline study to evaluate demand and system interventions – alone & in combination • Designed in collaboration with local community partners – 4 groups of 5 communities (e.g., 2 per network member) – Outcomes include vaccination rates, key informant data from health systems, organizational interviews in adjacent communities Multiple Baseline Design Community Groups (n=20) Time Periods & Intervention Activities Group 1 Group 2 T1 -6 month observationfor baseline assessment x X Group 3 Group 4 Intervention T2-6 month follow-up None Demand x X X System X X Combined X Intervention None +System (combined) +Demand (combined) Combined T3-12 month follow-up Intervention T4-18 month follow-up x X Combined Combined X X X Combined X X Combined X Dummy Data…. • Questions, comments?